Moore, Melody
Moore, Melody is an individual health care provider with primary practice located at 1395 Missouri Ave , Las Cruces NM 88001-5327. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Melody can be contacted via phone (832) 264-4454.Contact Information
Primary practice address
1395 Missouri Ave
Las Cruces NM 88001-5327
Phone: (832) 264-4454
Fax: (949) 863-5159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15121 | Texas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY-RXC0083 | New Mexico |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 34928 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 34928 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY-RXC0083 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 34928 | Texas |
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | PSY-RXC0083 | New Mexico |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 34928 | Texas |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 34531 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 34928 | Texas |
Profile Details
| NPI number | 1184946360 |
|---|---|
| LBN Legal business name | Moore, Melody |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2010 |
| Last updated | Jul 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184946360 | NPPES |
| New Mexico | Other | 1T9043 | MEDICARE PTAN |
| New Mexico | MEDICAID | 308 647 201 | MEDICARE PTAN |
| New Mexico | MEDICAID | 88575705 | MEDICARE PTAN |
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